The Foot : Pathology, Aetiology, Semiology, Clinical Investigation and Therapy

In orthopaedic surgery, the study of the foot has a special place. Familiarity with the congenital and acquired problems of inflammation and arthrosis must be blended with an understanding of the mechanics of support and propulsion before a sure choice of effective treatment can be made. There is involvement of bones, joints, tendons, ligaments, soft tissues and integument, none of which can be treated in isolation. Superficial appraisal can lead to the cardinal error of facile diagnosis, and ignorance of the physiology of the organ and of the differences of expert opinion with respect to pathogenesis and basic therapeutic concepts invites inevitably poor management. In this book, I have attempted to interpret pathology, clinical presentation and treatment in the light of practical experience. I do not presume to be original, for many distinguished authors have written on the subject already. Lelievre (1952), Viladot et al. '1956), de Doncker and Kowalski (1970) and many others, preceded by Hohmann (1951), Morton (1935), Hauser (1950) and Boehler (1944), have all contributed significantly to our basic knowledge and opened the way to understanding. The philosopher Alain wrote succinctly: "When it is fully comprehended that there is no knowledge without experience and that one cannot conceive an idea unless there already exists a thought, no more need be said". Thus my personal interpretation of the concepts of others may make some small increase to our understanding, to the benefit of our patients; that is my main aim here. In these pages, I recommend only what I have found to be genuinely useful. Front Matter....Pages I-XXII Front Matter....Pages 1-1 Functional Structure of the Foot....Pages 3-6 Diagnosis of Disorders of the Foot....Pages 7-12 Painful Syndromes of the Foot and Other Parts....Pages 13-14 Mycoses....Pages 15-19 Front Matter....Pages 21-21 Painful Syndromes of the Forefoot....Pages 23-33 The Flat Triangular Forefoot....Pages 34-42 The Simple Convex Forefoot....Pages 43-51 The Convex Triangular Forefoot....Pages 52-62 The Cavus Forefoot....Pages 63-68 Convex Forefoot with Insufficiency of the First Ray....Pages 69-74 Selective Overloading of Metatarsal Heads....Pages 75-97 Insufficiency of the Central Metatarsals....Pages 98-101 Disorders of the Sesamoids....Pages 102-107 Metatarsalgia....Pages 108-121 Pes Cavus....Pages 122-172 Pes Planovalgus....Pages 173-224 Disorders of the Toes....Pages 225-248 Disorders of the Great Toe....Pages 249-290 Quintus Varus....Pages 291-295 Tarsalgia....Pages 296-308 Front Matter....Pages 309-309 Ligamentous Injuries of Ankle and Hindfoot....Pages 311-317 Post-Traumatic Osteoarthrosis....Pages 318-334 Hallux Rigidus....Pages 335-350 Freiberg-Köhler Avascular Necrosis....Pages 351-359 Consequences of Failed Operative Treatment in the Antetarsus....Pages 360-379 Front Matter....Pages 381-381 Congenital Displacements....Pages 383-423 Congenital Malformations....Pages 424-461 Os Intermetatarseum....Pages 462-462 Front Matter....Pages 463-463 Plantalgias of Vascular Origin....Pages 465-466 Neurodystrophic Metatarsalgia....Pages 467-470 Perforating Plantar Ulcer....Pages 471-486 Diabetes Mellitus....Pages 487-491 Front Matter....Pages 493-493 Tarsal Tunnel Syndrome....Pages 495-497 Sinus Tarsi Syndrome....Pages 498-500 Morton Neuralgia....Pages 501-504 Front Matter....Pages 505-505 Rheumatoid Arthritis....Pages 507-529 Ankylosing Spondylitis....Pages 530-533 Psoriatic Arthritis....Pages 534-538 Gout....Pages 539-541 Front Matter....Pages 543-543 Insoles....Pages 545-554 Front Matter....Pages 543-543 Instrumentation, Technique, and Surgical Approach....Pages 555-563 Corrective Operations for Painful Syndromes of the Forefoot....Pages 564-584 Back Matter....Pages 585-633